| NPI | 1235700303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LAW Managing Partner 623-570-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-03-08 |